Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.30 / $829.45 / $1,154.03	Professional		$605.30	$829.45	$1,154.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.50 / $872.62 / $1,101.31	Professional		$638.50	$872.62	$1,101.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $567.51 / $864.89 / $1,223.27	Facility		$567.51	$864.89	$1,223.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $762.15 / $923.82 / $1,261.52	Professional		$762.15	$923.82	$1,261.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $896.81 / $1,128.25	Professional		$32.34	$896.81	$1,128.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,582.86 / $9,755.03	Facility		$5,040.66	$7,582.86	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $727.35 / $763.36 / $1,057.48	Professional		$727.35	$763.36	$1,057.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.98 / $910.88 / $1,358.47	Professional		$636.98	$910.88	$1,358.47